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Managing Conflicts of Interest © ACCME.
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Presentation Essentials for HIMSS Faculty October 19, :00 AM CT October 21, :00 PM CT © 2010 Healthcare Information and Management Systems.
2009 Finance & Business Operations Symposium (FBOS) Session Name Speaker Name Speaker Title and Credentials Presentation Date Connecting Great Ideas and.
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Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug.
Managing Conflicts of Interest © ACCME.
Title of the presentation
Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position.
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DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.
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Conflict of Interest Disclosure <First Name> <Last Name>, <Degree>
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Disclosures of Potential Conflicts
Conflict of Interest Disclosure Form
Disclosures of Potential Conflicts
Exponation Session Title Speaker Date AIA Provider Number:
Exponation Session Title Speaker AIA Provider Number:
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Has no real or apparent conflicts of interest to report.
Disclosure Neither I nor any members of my immediate family have a financial interest/arrangement or affiliation that could be perceived as a real or apparent.
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Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.
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Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.
Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug.
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DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.
DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.
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DISCLOSURE INFORMATION
DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.
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DISCLOSURE INFORMATION
DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.
Conflict of Interest Disclosure Form
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Title of the presentation
Conflict of Interest Disclosure , Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees.
Conflict of Interest Disclosure , Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees.
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Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.
Conflict of Interest Disclosure Form
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Place Session Title Here Session #, Date of Session (spell month out, example: February 12, 2019) Speaker Name(s), Title, Organization Organization logo(s) may be placed on this slide

Conflict of Interest <First Name> <Last Name>, <Credentials> Has no real or apparent conflicts of interest to report.

Conflict of Interest <First Name> <Last Name>, <Credentials> Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees (e.g., advisory boards): Fees for Non-CME Services Received Directly from a Commercial Interest or their Agents (e.g., speakers’ bureau): Contracted Research: Ownership Interest (stocks, stock options or other ownership interest excluding diversified mutual funds): Other:

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